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Abstract
Roentgenographic studies of the abdomen were available in 200 of 458 consecutive patients
undergoing emergency laparotomy with the preoperative diagnosis of acute appendicitis.
These roentgenograms were reviewed without prior knowledge of the clinicopathologic
diagnosis. Nine roentgenographic criteria were used to detect the presence of acute
appendicitis and the results obtained were later tabulated according to the status
of the appendix at operation.
The most consistently helpful roentgenographic signs of acute appendicitis were localized
air-fluid levels, localized ileus, and localized increased soft tissue density in
the right lower quadrant of the abdomen. Other valid roentgenographic signs were appendicolith,
altered right psoas shadow, gas-filled appendix, and altered right flank stripe. This
study indicates that abdominal roentgenograms in certain instances can be of value
in establishing the diagnosis of this common and sometimes diagnostically troublesome
disease.
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Article info
Publication history
Received:
January 29,
1964
Identification
Copyright
© 1965 Published by Elsevier Inc.
